{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T19:54:27Z","timestamp":1782503667540,"version":"3.54.5"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2017,6,14]],"date-time":"2017-06-14T00:00:00Z","timestamp":1497398400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Cardiovascular Nursing"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Physical activity is associated with improved quality of life. Patients with an implantable cardioverter defibrillator (ICD) face unique clinical and psychological challenges. Factors such as fear of ICD shock may negatively impact on physical activity, while a sense of protection gained from the ICD may instil confidence to be active. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aim:<\/jats:title><jats:p> We aimed to examine the impact of an ICD on physical activity levels and factors associated with amount of activity. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Two cross-sectional studies were conducted. Accelerometer data (seven-day) was collected in March\u2013November 2015 for 63 consecutively recruited hypertrophic cardiomyopathy patients, with or without an ICD, aged \u2a7e18 years. A survey study was conducted in July\u2013August 2016 of 155 individuals aged \u2a7e18 years with an inherited heart disease and an ICD in situ. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Based on the International Physical Activity Questionnaire, mean leisure time physical activity was 239 \u00b1 300 min\/week with 51% meeting physical activity guidelines. Accelerometry showed that mean moderate\u2013vigorous physical activity was the same for patients with and without an ICD (254 \u00b1 139 min\/week versus 300 \u00b1 150 min\/week, p=0.23). Nearly half of survey participants ( n=73) said their device made them more confident to exercise. Being anxious about ICD shocks was the only factor associated with not meeting physical activity guidelines. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Patients with inherited heart disease adjust differently to their ICD device, and for many it has no impact on physical activity. Discussion regarding the appropriate level of physical activity and potential barriers will ensure best possible outcomes in this unique patient group. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1474515117715760","type":"journal-article","created":{"date-parts":[[2017,6,14]],"date-time":"2017-06-14T13:39:37Z","timestamp":1497447577000},"page":"742-752","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of the implantable cardioverter defibrillator on confidence to undertake physical activity in inherited heart disease: A cross-sectional study"],"prefix":"10.1093","volume":"16","author":[{"given":"Joanna","family":"Sweeting","sequence":"first","affiliation":[{"name":"Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Sydney, Australia"},{"name":"Sydney Medical School, University of Sydney, 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